Individual
RANDAL PAIGE ANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1951 CLAIRMONT RD, DECATUR, GA 30033-3415
(404) 321-4600
(404) 320-0987
Mailing address
2665 N DECATUR RD, SUITE 650, DECATUR, GA 30033-6149
(404) 508-0566
(404) 508-0567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1875
GA
Other
Enumeration date
04/30/2009
Last updated
04/14/2014
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